Elena Pérez-Sanz

Generalitat Valenciana

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Rosana Peiró

Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana

Ana Molina‐Barceló

Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana

Josefa Ibáñez

Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana

Mercedes Vanaclocha‐Espí

Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana

Joan J. Paredes-Carbonell

Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana

Susana Castán-Cameo

Conselleria de Sanitat Universal i Salut Pública

Vicente Gea-Caballero

Valencian International University

Isabel Sáez-Lloret

Generalitat Valenciana

Griselda Vallès

Hospital de Mataró

J. Jaime Miranda

Universidad Peruana Cayetano Heredia

Cooperative Institutions

Generalitat Valenciana

Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana

Conselleria de Sanitat Universal i Salut Pública

Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública

Universitat de València

Universidad de La Rioja

Center for Biomedical Research of La Rioja

Universitat Autònoma de Barcelona

University College Cork

Ministero della Salute

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Valoración de un programa piloto de prescripción de actividad física en atención primaria en la Comunitat Valenciana

Gaceta Sanitaria (2020)

Andrea Martín-Doménech Rosana Peiró Ana Esplugues Susana Castán-Cameo Eva Legaz-Sánchez

Assess the prescription process, adherence and impact on health measured in improvement of self-esteem and health-related quality of life, as short-term health indicators, from a pilot study of prescription of physical activity assets for 3 months.Quasi-experimental study before-after without a control group, for the evaluation of the pilot phase (November 2017 and May 2018) of the program Conecta Actius per a la Salut in the Valencian Community (Spain). The physical activity prescription was performed and a questionnaire was completed at the beginning (T0) and at 3 months (T1). A descriptive analysis was carried out by sex and educational level where the differences between T0 and T1 were calculated using chi square and the Wilcoxon test of two dependent samples.The sample was 82 in T0 and 78 people in T1. The analysis shows an improvement between quality of life (7%; p ≤0.001), health perception (12,5%; p ≤0.001) and self-esteem (5,9%; p ≤0.001) between T0 and T1. The improvement proportion in Health perception is greater in women than in men for the three measured scales and in those who have a higher educational level or have been prescribed in centers that offer a single asset.Pilot study shows short-term health benefits after the physical activity prescription. Specifically, there is an improvement in the quality of life, health perception and self-esteem of the population.

10.1016/j.gaceta.2020.04.021

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Health equity in urban and rural settings: implementation of the place standard tool in Spain

Frontiers in Public Health (2024)

Ana Ocaña Ortiz Vicente Gea-Caballero Raúl Juárez‐Vela Rosana Peiró Elena Pérez-Sanz

The physical, social, and economic characteristics of neighborhoods and municipalities determine the health of their residents, shaping their behaviors and choices regarding health and well-being. Addressing local environmental inequalities requires an intersectoral, participatory, and equity-focused approach. Community participation plays a vital role by providing deeper insights into local contexts, integrating community knowledge and values into processes, and promoting healthier, fairer, and more equitable actions. In recent years, various tools have been developed to assess places and transform them into health-promoting settings. One such tool, the Place Standard Tool (PST), facilitates discussions on Social Determinants of Health grouped into 14 themes, serving as a starting point for local health interventions. In this study, that took place between August 2019 and February 2020, we described the resident’s perceptions of two municipalities in the Valencian Community, Spain, using the validated Spanish version of the PST. A mixed-method convergent-parallel design was used to gain a holistic insight into residents’ experiences concerning their physical, economic, and social environment. A total of 356 individuals from both municipalities participated in the study through discussion groups, structured interviews, and online survey. Descriptive analysis of the individual questionnaire answers was conducted, and differences between municipalities were explored. Qualitative thematic analysis was conducted on structured interviews and discussion groups. Quantitative and qualitative data were integrated to facilitate their comparison and identify areas of convergence or divergence in the findings. Overall, rural areas received more favorable evaluations compared to urban ones. Public Transport as well as Work and Local Economy were consistently rated the lowest across all groups and contexts, while Identity and Belonging received the highest ratings. In the urban area, additional negative ratings were observed for Traffic and Parking, Housing and Community, and Care and Maintenance. Conversely, Identity and Belonging, Natural Spaces, Streets and Spaces, Social Interaction, and Services emerged as the highest-rated themes overall. In the rural context, positive evaluations were given to Walking or Cycling, Traffic and Parking, Housing and Community, and Influence and Sense of Control. Significant differences ( p < 0.01) between urban and rural settings were observed in dimensions related to mobility, spaces, housing, social interaction, and identity and belonging. Our study illustrated the capacity of the PST to identifying aspects within local settings that influence health, revealing both positive and challenging factors. Successful implementation requires appropriate territorial delineation, support from local authorities, and effective management of expectations. Furthermore, the tool facilitated community participation in decision-making about local environments, promoting equity by connecting institutional processes with citizen needs.

Equity

Rural Health

10.3389/fpubh.2024.1292032

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Properties of the Spanish Version of the Place Standard Tool

International Journal of Environmental Research and Public Health (2022)

Ana Ocaña Ortiz Vicente Gea-Caballero Rosana Peiró Raúl Juárez‐Vela Elena Pérez-Sanz

(1) Background: The social determinants that maintain health inequalities are organized in the physical, social, and economic contexts of neighborhoods and municipalities. Their characteristics influence the behaviors and choices of the people living in them, with an impact on their health and well-being. In recent years, several local applications and urban development tools have been designed to learn how to promote the development of health and wellness environments. Aim: The purpose was to test the properties of the Spanish adaptation of the Place Standard Tool through its implementation in a Valencian community municipality. (2) Methods: Metric properties were analyzed from a sample of 242 participants. Descriptive statistics were used to analyze the sociodemographic data and to describe item responses. Cronbach’s alpha was used to provide a measure of the internal consistency, whereas the Kaiser–Meyer Olkin test was relied upon to study the relationship between different variables. (3) Results: The questionnaire showed an internal consistency index of 0.849 and a KMO of 0.842, with a single factor variance of 81.50%. (4) Conclusions: The Spanish adaptation of the Place Standard Tool is a valid tool for assessing neighborhoods and municipalities with a focus on social determinants of health and equity.

10.3390/ijerph19159395

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P1-283 Trends in age at menarche and menopause of women in Valencia community born in during 1927-1964 period

Journal of Epidemiology & Community Health (2011)

Elena Pérez-Sanz Rosana Peiró D. Salas Griselda Vallès J. Jaime Miranda

Objective

To describe and analyse the trend in age at menarche and menopause of women who have attended the breast cancer-screening program in the Valencian Community (VC) from 1992 to 2009 (born between 1927 and 1964).

Materials and Methods

Between 1992 and 2009, a retrospective cohort of participants in a population-based breast cancer-screening program in the VC was assessed. The study population was 695 313 women, 45–69 years. Trends in menarche and menopause aged by educational level (EL), nationality and territory by born cohorts were analysed. A regression analysis by the Joint-Point for the tendency was calculated.

Results

The age of menarche is earlier every cohort, 13.31 years (1927–1929) 12.59 years (1960–1964) (p<0.00001) by EL, mean 12 997 low EL vs 12 492 university EL (p<0001), being Spanish 12 722 vs 13 076 (p<0.0001) and living in urban area (12 717 vs 12 788) (p<0.0001). While these differences were very marked at the beginning of the period under study these being reduced in the last cohort. Joint point regression analysis shows significant differences in trend by varibles analysed. The age of natural menopause was 49.262 years in the 1927–1929 cohort, and 49.866 years in 1945–1949 (p<0.0001). Women with a low EL have an average age of menopause earlier than women of higher EL (49.531 vs 49.822) (p<0.001). Regression analysis of the trend shows that the delay was more pronounced for women with no education and primary studies (p<0.0001).

Conclusions

Menarche has advanced age and menopause is delayed, making broader reproductive cycles exist and different by the social variables studied.

Menarche

Menstrual period

10.1136/jech.2011.142976e.75

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SP1-89 Tendency of Hormone Replacement Therapy (HTR) use in a 18-year follow-up retrospective cohort of women in the Valencian Community (VC)

Journal of Epidemiology & Community Health (2011)

Rosana Peiró D. Salas Griselda Vallès J. Jaime Miranda Josefa Ibáñez

Objective

To described the tendency of Hormone Replacement Therapy (HTR) use in a 18-year follow-up retrospective cohort of women participating in the Valencian Community (VC), breast cancer screening program.

Methods

Between 1992 and 2009, a retrospective cohort of participants in a population-based breast cancer-screening program in the VC was assessed. The study population was 683 739 women, 45–69 years. Trends in current HTR use, and new and leaving users, by educational level (EL) and age group were analysed. A regression analysis by the joint point (JP) for the tendency was calculated.

Results

From 1992 to 2009, the 11.73% (N=71 827) of women was taken HRT, annual increases were found in the prevalence levels of HRT use to 2003 (13.5%) and remains in 2009 (12.5%). The peak by aged group was 20% in 2003 for the 55–59 group. The new users of HRT have increased until 1998, changing significantly, to decrease until 2009, as shows the JP regression analysis (p<0.005). The university (EL) new user9s peak was in 1999 (12.3% vs 3.6%) in the no-studies group, in 2002 (8.2% vs 2.9%), in 2009 (2.7% vs 0.7%) (p<0.0001). The university leaving use peak was in 2004 (1.4% vs 1.05%) in the no-studies, in 2009 (0.4% vs 0.7%). There is a statistically significant difference in HTR users by EL, the regression analysis of the JP, shows that the trend is parallel increasing until the year 1998, and began a reduction until 2009.